Reopening Of A Previously Repaired Fistula Following Obstructed Labour: A Case Commentary

Background: Obstetric fistula is a common problem in Tanzania, with an incidence of about 1200 cases per year. Case: A 25 year-old female, para 2 with no living children, presented with a history of total urinary incontinence following a difficult vaginal delivery. Prior to this delivery she had a previous history of an obstructed labour complicated by vesico-vaginal fistula (VVF), for which she had had a caesarean section and then a vesical vaginal fistula repair in 2006. A repeat fistula was repaired successfully. Conclusion: Improvement in a patient’s socio-economic status and improvement to infrastructure would contribute greatly to prevention of obstetric fistula.